Cildren And Pregnancy Flashcards
Highest risk area for rotavirus for children?
Central Africa
Highest rate measles, in which countries
Nigeria, Pakistan, and Somalia 
Yellow fever, vaccine, and babies
Less than six months – never- risk of post vaccine encephalitis 
6 to 9 months – CDC consult
> than nine months – same as adults 
Rabies death worldwide
Approximately 60,000 per year 
Over half of rabies cases in what age
Less than 15-years old
Rabies, pre-exposure, prophylaxis for children, how many doses
Three doses 
 Accelerating routine, vaccines in infants 
MMR and hepatitis A at six months, both need to repeat at 12 months and complete the series
DTAP, IPV, rotavirus, Hib and PCV 13 can be given at six weeks
Minimum dose intervals can be decreased to four weeks for most vaccines
Use of deet and young children
Generally safe over two months old
Rare cases with ingestion of encephalopathy and seizureslike illness. 
Can infants use deet and sunscreen combo product
No, not recommended 
Picardin use in babies
Not higher than 10%
Oil of lemon eucalyptus in babies
Not recommended for less than three years old
Radiation and air travel
Body provides no shield to fetus
Usual radiation dose
0.005 - 0.01 mSv / hrs flight
Flight attendants max equals 1 mSv per nine months pregnancy(100-200 flight hours)
VTE
5-10 x increased risk and pregnancy
2 to 4 x risk for flights > than 8 hours
1 per 1000 for < than 35 yo
2.4 per 1000 > than 35 yo
Pregnancy and scuba diving
Unsafe at any stage of pregnancy
Risk of fetal decompression sickness
Cruise travel and pregnancy
Considerations for COVID-19
Cruise line restrictions to 24 to 28 weeks
Medical concerns
Pandemic
Hepatitis, E and pregnancy
Entericaly transmitted
 major case outbreaks
15 to 25% case fatality ratio in pregnancy
Immune globulin from non-endemic countries is ineffective 
Dengue in pregnancy 
May look like toxemia, or HELLP syndrome 
Altitude and pregnancy 
Extreme altitude greater than 12,000 feet not advised
Moderate altitude OK late term possible risks but short exposure probably OK
Acetazolamide in pregnancy class C, contraindicated, first trimester be, and after 36 weeks
Consider remoteness from care
Most likely problems and pregnancy
Diarrhea and DVT, not vaccine, preventable illnesses
Travel with children
Carrya medical kit with ORS packets
